Organization Active NPI

Mario J. Violante DDS PLLC

  • Dental Clinic/Center
  • Niagara Falls, NY
National Provider Identifier
1639470701
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
048498 Issued in NY
Legal business name
MARIO J. VIOLANTE DDS PLLC
Practice address
1 Colomba Dr
Suite #6
Niagara Falls, NY 14305-1205
Phone
(716) 297-6453
Fax
(716) 297-6487
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mario Joseph Violante III, DDSNPI 1194868836
Title
Owner
Phone
(716) 297-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 048498 NY Primary

Addresses

Primary practice location

1 Colomba Dr
Suite #6
Niagara Falls, NY 14305-1205

Mailing address

1 Colomba Dr
Suite #6
Niagara Falls, NY 14305-1205
Phone (716) 297-6453

Other identifiers 1

IdentifierTypeStateIssuer
1194868836MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Colomba Dr
Ste 6
Niagara Falls, NY 14305
Phone (716) 205-0181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1639470701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE #6",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-297-6453",
            "fax_number": "716-297-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE #6",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-297-6453",
            "fax_number": "716-297-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J. VIOLANTE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "VIOLANTE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-297-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "048498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194868836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.